38-year-old Woman with a Cough and a Rash

[摘要] A 38-year-old female presented to the emergency department (ED) with rash, dyspnea, odynophagia, and nasal congestion for the prior two weeks. During that time, she sought medical care twice. The first physician to evaluate the patient started her on antibiotics for a presumed upper respiratory infection (URI). Her symptoms did not improve after completing a 10-day course of amoxicillin; then a second medical provider prescribed her ciprofloxacin. She was on her eighth day of ciprofloxacin (i.e., total 18th day of treatment) when she presented to our ED with rash and dyspnea. She decided to come to the ED because her cough had worsened and become productive of sputum. She also complained of one month of fevers, chills, night sweats, and malaise. She denied any complaints of headaches, chest pain, palpitations, abdominal pain, genitourinary or neurologic symptoms.

[学科分类] 医学（综合）